Leischer, Gregory Lee

Leischer, Gregory Lee is an individual health care provider with primary practice located at 611 Stevens Dr , Wausau WI 54401-3006. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leischer, Gregory Lee can be contacted via phone (715) 848-2020.

Contact Information

Primary practice address
611 Stevens Dr Wausau WI 54401-3006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2687 Wisconsin

Profile Details

NPI number 1285770065
LBN Legal business name Leischer, Gregory Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Apr 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285770065 NPPES
Wisconsin MEDICAID 38601100

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